Evidence-based Treatment for Substance Use Disorders in Community Mental Health Centers: the ACCESS Program.
Evidence-based Treatment for Substance Use Disorders in Community Mental Health Centers: the ACCESS Program.
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DOI：
10.1007/s11414-023-09833-8
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发表时间：
2023-07
影响因子：
1.9
通讯作者：
Hulvershorn, Leslie A.
中科院分区：
文献类型：
--
作者：
Aalsma, Matthew C.;Adams, Zachary W.;Smoker, Michael P.;Marriott, Brigid R.;Ouyang, Fangqian;Meudt, Emily;Hulvershorn, Leslie A.
在社区物质使用障碍（SUD）治疗中，循证治疗（EBT）的可用性和可及性仍然存在重大差距。这项研究描述了一项为期2年的全州培训计划，旨在通过培训以社区为基础的治疗师进行动机增强/认知行为治疗（MET/CBT）来解决这一差距。治疗师（N = 93）参加了为期2天的MET/CBT研讨会，然后是每两周一次的临床咨询，保真度监测，指导阅读和在线资源。治疗师完成了培训前和后续评估，测量知识，态度，信心和实施障碍。大多数治疗师参加了10个或更多的咨询电话。提交会议记录以供反馈是利用最少的培训内容。治疗师报告说，他们对SUD实施MET/CBT的能力的信心增加，并证明MI和CBT知识的改善。治疗师报告了一些实施障碍，包括缺乏时间和机会来治疗MET/CBT患者。未来的培训举措和解决本研究中确定的障碍的建议进行了讨论。
A significant gap remains in the availability and accessibility of evidence-based treatments (EBTs) in community substance use disorder (SUD) treatment. This study describes a 2-year statewide training initiative that sought to address this gap by training community-based therapists in motivational enhancement/cognitive behavioral therapy (MET/CBT). Therapists (N = 93) participated in a 2-day MET/CBT workshop followed by bi-weekly clinical consultation, fidelity monitoring, guided readings, and online resources. Therapists completed pre-training and follow-up assessments measuring knowledge, attitudes, confidence, and implementation barriers. Most therapists attended 10 or more consultation calls. Submission of session recordings for feedback was the least utilized training element. Therapists reported increased confidence in their ability to implement MET/CBT for SUD and demonstrated improvement in MI and CBT knowledge. Therapists reported several implementation barriers, including lack of time and opportunity to treat patients with MET/CBT. Recommendations for future training initiatives and addressing the barriers identified in this study are discussed.
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影响因子：
3.6
作者：
Aarons, Gregory A.;Hoagwood, Kimberly;Landsverk, John;Glisson, Charles;Kelleher, Kelly;Cafri, Guy
通讯作者：
Cafri, Guy
影响因子：
2.3
作者：
Hanson, Rochelle F.;Saunders, Benjamin E.;Fitzgerald, Monica M.
通讯作者：
Fitzgerald, Monica M.
影响因子：
2.7
作者：
Iheanacho, Theddeus;Bommersbach, Tanner;Dike, Charles
通讯作者：
Dike, Charles
影响因子：
4.2
作者：
DePhilippis, Dominick;Petry, Nancy M.;McKay, James R.
通讯作者：
McKay, James R.
DOI：
10.1023/b:mhsr.0000024351.12294.65
发表时间：
2004-06-01
期刊：
Mental health services research
影响因子：
--
作者：
Aarons, Gregory A
通讯作者：
Aarons, Gregory A